Israeli strikes killed dozens of people on Sunday in Lebanon and the northern Gaza Strip, where the military has been waging a major offensive for more than a month that aid groups say has further worsened the humanitarian crisis in the besieged enclave.

An Israeli airstrike killed at least 23 people in the village of Aalmat, north of Beirut and far from the areas in southern and eastern Lebanon where the militant Hezbollah group has a major presence. Lebanon’s Health Ministry said a further six people were wounded. There was no immediate Israeli comment.

In northern Gaza, an Israeli strike on a home sheltering displaced people in the urban refugee camp of Jabaliya killed at least 17 people, according to the director of a nearby hospital that received the bodies.

Dr. Fadel Naim, director of the Al-Ahly Hospital in Gaza City, said the dead include nine women, and that the toll was likely to rise as rescue efforts continue.

The Israeli military said it targeted a site where militants were operating in Jabaliya, without providing evidence. It said the details of the strike are under review.

A separate strike on Sunday hit a house in Gaza City, killing Wael al-Khour, a minister in the Hamas-run government, as well as his wife and three children, according to the Civil Defense, a first responders organization that operates under the government.

Israeli forces have encircled and largely isolated Jabaliya and the nearby towns of Beit Lahiya and Beit Hanoun for the past month, allowing in only a trickle of humanitarian aid. Hundreds of people have been killed since the offensive began on Oct. 6, and tens of thousands of people have fled to nearby Gaza City.

On Friday, experts from a panel that monitors food security said famine is imminent in the north or may already be happening. The growing desperation comes as the deadline approaches for an ultimatum the Biden administration gave Israel to raise the level of humanitarian assistance allowed into Gaza or risk possible restrictions on U.S. military funding.

The northern third of Gaza, including Gaza City, was the first target of Israel’s ground invasion and has suffered the heaviest destruction of the 13-month-old war, which was triggered by Hamas’ attack into southern Israel. As in other areas of Gaza, Israel has sent forces back in after repeated operations, saying Hamas has regrouped.

The military says it only targets militants, whom it accuses of hiding among civilians in homes and shelters. Israeli strikes often kill women and children.

On Sunday, the Israeli military released what it said was video footage of Hamas abusing detainees. The soundless footage, dated from 2018 to 2020, appears to show detainees with hoods over their heads chained up in stress positions. In some of the clips, men beat or poke them with batons.

It was not possible to independently verify the videos, which the military said it had recovered during operations in Gaza.

Rights groups have long accused the Hamas-run government in Gaza and the Western-backed Palestinian Authority in the occupied West Bank of abusing detainees and violently quashing dissent. Israel has been accused of similar abuses, especially since the start of the war. Israeli prison authorities say they follow relevant laws and investigate any allegations of wrongdoing.

Hezbollah began firing rockets, drones and missiles into Israel after war broke out in Gaza in solidarity with the Palestinians and its fellow Iran-backed militant group Hamas.

Israel retaliated, and a series of escalations over several months led to an all-out war in September, when Israel carried out a wave of heavy strikes and killed Hezbollah leader Hassan Nasrallah, as well as most of his top commanders.

Since then, Israel has struck areas deeper and deeper inside Lebanon, while Hezbollah has expanded its rocket fire from northern to central Israel. The fighting has killed over 3,000 people in Lebanon, according to the Health Ministry, and more than 70 people in Israel.

In videos purporting to show the aftermath of Sunday’s strike in Aalmat, some 40 kilometers (25 miles) north of Beirut, people were seen pulling the body of a little girl out of the rubble. The house had been flattened, and several cars nearby were also damaged.

The war in Gaza began when Hamas-led militants blew holes in the border fence and stormed into southern Israel on Oct. 7, 2023. They killed some 1,200 people, mostly civilians, and abducted around 250. Some 100 hostages are still inside Gaza, about a third of whom are believed to be dead.

Israel’s offensive has killed over 43,000 Palestinians, according to local health authorities who do not distinguish between civilians and militants in their count but say over half the fatalities were women and children.

Israeli bombardment and ground invasions have left vast areas of Gaza in ruins and displaced around 90% of the population of 2.3 million people, often multiple times. Hundreds of thousands of people are living in crowded tent camps with few if any public services and no idea of when they might return to their homes or rebuild.

Cease-fire talks mediated by the United States, Qatar and Egypt have repeatedly stalled since the start of the year, as have parallel efforts by the U.S. and others to halt the fighting between Israel and Hezbollah.

Qatar, which has served as a key mediator with Hamas, said over the weekend that it had suspended its efforts and would only resume them when “the parties show their willingness and seriousness to end the brutal war and the ongoing suffering of civilians.”